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Case 171486

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Referral category

Disease / syndrome / tumor / condition

Region of interest

37,38

Referral reason

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Canaray 171486

1. Possible subclinical fibrous dysplasia

The bone in the posterior inferior left mandibular body exhibits a heterogeneous appearance in the region inferior to the inferior alveolar nerve canal. No significant buccolingual expansion of the bone has occurred, but endosteal scalloping of the cortical plates is evident. The passage of the inferior alveolar nerve canal has not been affected by the entity, which suggests that it represents a bone dysplasia rather than a space occupying lesion. The overall radiographic appearance is suggestive of the presence of subclinical fibrous dysplasia. A second diagnostic possibility is a vascular malformation. In the absence of any symptoms, this is a nonsignificant finding. No treatment is required. Periodic radiographic follow-up is recommended to confirm this diagnosis.

Normal tooth 37

Tooth 37 appears normal radiographically. The periodontal ligament space surrounding the root circumference of this tooth appears thin and uniform, and the lamina dura is intact. There are no radiographic signs of periapical or periradicular pathology.

Normal tooth 38

Tooth 38 appears normal radiographically. The periodontal ligament space surrounding the root circumference of this tooth appears thin and uniform, and the lamina dura is intact. There are no radiographic signs of periapical or periradicular pathology.